| Producers | Employers | 
|---|---|
| Johnson Benefit Planning 541-382-3571 or toll-free 1-800-314-3571 Bend Chamber of Commerce 541-382-3221 | Please reach out to the Producer you work with OR visit the Employer Hub for plan information, benefits management, online payment of an invoice, and more. | 
Welcome Bend Chamber Producers and Employers!
Providence is proud to partner with the Bend Chamber of Commerce to provide network and plan options that serve the covered association's businesses and their members' needs.
Requirements to participate:
- Your business must be headquartered in the state of Oregon
- Your Chamber membership must be maintained
- Have at least two employees enrolled in a group
If you have any questions, please talk with your agent or Johnson Benefit Planning. They’d be happy to talk you through the various plan options available to employees and answer any questions you may have.
Producer Toolkits
Find documents and forms
Tailored Plan Designs That Perform
Some standard features of the Bend Chamber plans
- Premier, Core, and Base plans with a wide range of deductibles and coverage of common services with deductible waived
- Common deductibles for most Premier Plans
- Low cost plan options with Choice and Connect networks that use patient-centered medical homes without referral requirements for in-network specialists
- HSA qualified plan with non-embedded lower deductible
- Virtual office visits for in-network primary care and behavioral health providers covered in full on most plans
- Multiple plan offerings — 2-9 enrolled employees can have 2 plans, and 10 or more can have up to 3 plans
- Many preventive medications with a $0 copay
- 90-day supply of maintenance medications for two copayments
- Optional any licensed eye care provider vision benefit that can be added
- Chiropractic (20 visits) and acupuncture (12 visits) embedded for each covered member
- $1,000 accident benefit on all non-HSA plans
- AD&D benefit of $25,000 for employees enrolled in the medical plan through USAble Life
- No cost COBRA administration
- Four-visit Employee Assistance Program (EAP)
Comprehensive Network Options
With Providence, Bend Chamber members will have access to more in-network providers – close to home and coast-to-coast.
All networks listed below include Cigna as the national wrap network for access outside of Oregon and southwest Washington.
Providence Signature Network + OHSU
- Expansive network featuring over 1 million providers nationwide, including top health systems in Oregon such as Providence, Asante, St. Charles, OHSU, and more. The Cigna PPO Network covers members outside of Oregon and southwest Washington.
Providence Choice Network
- Tailored, high-performing network of nearly 400 patient-centered medical homes. Clinics in the Choice network are designated as medical homes by the Oregon Health Authority based on access, coordination, quality, and cost measures. Includes standard Signature Network.
Providence Connect Network
- Like Choice, participating clinics in this tailored medical home style network partner with Providence to improve the quality of care and reduce medical costs. Connect is available in the Portland metropolitan area, centered around the Providence delivery system.
Important health plan information and forms
- 
    Plan Comparison Overview2026 Health Plan Options- Premier Plans (PDF)
- Core Plans (PDF)
- HSA Plans (PDF)
- Base Plans (PDF)
- Premier Choice or Connect Plans (PDF)
 
 
 2025 Health Plan Options- Premier (Premium) Plans (PDF)
- Core Plans (PDF)
- Base Plans (PDF)
- HSA Plans (PDF)
- Premier Choice or Connect Plans (PDF)
 
- 
    2026 Benefit SummariesThe number in the links below corresponds to the deductible amount. Looking for Summaries of Benefits and Coverage (SBCs)? See next drop-down. 
 2026 Benefit Summaries
 
 Premier Premium plans- Premier Premium 250 (PDF)
- Premier Premium 250 - Spanish (PDF)
- Premier Premium 500 (PDF)
- Premier Premium 500 - Spanish (PDF)
- Premier Premium 1000 (PDF)
- Premier Premium 1000 - Spanish (PDF)
- Premier Premium 1500 (PDF)
- Premier Premium 1500 - Spanish (PDF)
- Premier Premium 2000 (PDF)
- Premier Premium 2000 - Spanish (PDF)
- Premier Premium 3000 (PDF)
- Premier Premium 3000 - Spanish (PDF)
- Premier Premium 4000 (PDF)
- Premier Premium 4000 - Spanish (PDF)
- Premier Premium 5000 (PDF)
- Premier Premium 5000 - Spanish (PDF)
- Premier Premium 6000 (PDF)
- Premier Premium 6000 - Spanish (PDF)
 
 
 Core Plus plans- Core Plus 2500 (PDF)
- Core Plus 2500 - Spanish (PDF)
- Core Plus 3500 (PDF)
- Core Plus 3500 - Spanish (PDF)
- Core Plus 5000 (PDF)
- Core Plus 5000 - Spanish (PDF)
 
 
 Base plans- Base 1000 (PDF)
- Base 1000 - Spanish (PDF)
- Base 1500 (PDF)
- Base 1500 - Spanish (PDF)
- Base 2000 (PDF)
- Base 2000 - Spanish (PDF)
- Base 3000 (PDF)
- Base 3000 - Spanish (PDF)
- Base 4000 (PDF)
- Base 4000 - Spanish (PDF)
- Base 5000 (PDF)
- Base 5000 - Spanish (PDF)
- Base 6000 (PDF)
- Base 6000 - Spanish (PDF)
 
 
 HSA plans- HSA 1700 (PDF)
- HSA 1700 - Spanish (PDF)
- HSA E 3400 (PDF)
- HSA E 3400 - Spanish (PDF)
- HSA E 4000 (PDF)
- HSA E 4000 - Spanish (PDF)
- HSA E 6000 (PDF)
- HSA E 6000 - Spanish (PDF)
 
 
 Premier Choice plans- Premier Choice 1000 (PDF)
- Premier Choice 1000 - Spanish (PDF)
- Premier Choice 1500 (PDF)
- Premier Choice 1500 - Spanish (PDF)
- Premier Choice 2000 (PDF)
- Premier Choice 2000 - Spanish (PDF)
- Premier Choice 3000 (PDF)
- Premier Choice 3000 - Spanish (PDF)
- Premier Choice 4000 (PDF)
- Premier Choice 4000 - Spanish (PDF)
- Premier Choice 5000 (PDF)
- Premier Choice 5000 - Spanish (PDF)
 
 
 Premier Connect plans- Premier Connect 1000 (PDF)
- Premier Connect 1000 - Spanish (PDF)
- Premier Connect 1500 (PDF)
- Premier Connect 1500 - Spanish (PDF)
- Premier Connect 2000 (PDF)
- Premier Connect 2000 - Spanish (PDF)
- Premier Connect 3000 (PDF)
- Premier Connect 3000 - Spanish (PDF)
- Premier Connect 4000 (PDF)
- Premier Connect 4000 - Spanish (PDF)
- Premier Connect 5000 (PDF)
- Premier Connect 5000 - Spanish (PDF)
 
 
 Pharmacy (Rx) Options- Pharmacy 5/10/50/50/50 (PDF)
- Pharmacy 5/10/50/50/50 - Spanish (PDF)
- Pharmacy 5/10/50/75/30 (PDF)
- Pharmacy 5/10/50/75/30 - Spanish (PDF)
 
 
 Optional vision benefitVision administered through Providence Health Plan NOT VSP. Eligibility can be confirmed with Customer Service at 503-574-7500 or 800-878-4445. 
 - Vision (PDF)
- Vision - Spanish (PDF)
 
- 
    2025 Benefit SummariesThe number in the links below corresponds to the deductible amount. Looking for Summaries of Benefits and Coverage (SBCs)? See next drop-down. 
 2025 Benefit Summaries
 
 Premier Premium plans- Premier Premium 250 (PDF)
- Premier Premium 250 - Spanish (PDF)
- Premier Premium 500 (PDF)
- Premier Premium 500 - Spanish (PDF)
- Premier Premium 1000 (PDF)
- Premier Premium 1000 - Spanish (PDF)
- Premier Premium 1500 (PDF)
- Premier Premium 1500 - Spanish (PDF)
- Premier Premium 2000 (PDF)
- Premier Premium 2000 - Spanish (PDF)
- Premier Premium 3000 (PDF)
- Premier Premium 3000 - Spanish (PDF)
- Premier Premium 4000 (PDF)
- Premier Premium 4000 - Spanish (PDF)
- Premier Premium 5000 (PDF)
- Premier Premium 5000 - Spanish (PDF)
- Premier Premium 6000 (PDF)
- Premier Premium 6000 - Spanish (PDF)
 
 
 Core Plus plans- Core Plus 2500 (PDF)
- Core Plus 2500 - Spanish (PDF)
- Core Plus 3500 (PDF)
- Core Plus 3500 - Spanish (PDF)
- Core Plus 5000 (PDF)
- Core Plus 5000 - Spanish (PDF)
 
 
 Base plans- Base 1000 (PDF)
- Base 1000 - Spanish (PDF)
- Base 1500 (PDF)
- Base 1500 - Spanish (PDF)
- Base 2000 (PDF)
- Base 2000 - Spanish (PDF)
- Base 3000 (PDF)
- Base 3000 - Spanish (PDF)
- Base 4000 (PDF)
- Base 4000 - Spanish (PDF)
- Base 5000 (PDF)
- Base 5000 - Spanish (PDF)
- Base 6000 (PDF)
- Base 6000 - Spanish (PDF)
 
 
 HSA plans- HSA 1650 (PDF)
- HSA 1650 - Spanish (PDF)
- HSA E 3300 (PDF)
- HSA E 3300 - Spanish (PDF)
- HSA E 4000 (PDF)
- HSA E 4000 - Spanish (PDF)
- HSA E 6000 (PDF)
- HSA E 6000 - Spanish (PDF)
 
 
 Premier Choice plans- Premier Choice 1000 (PDF)
- Premier Choice 1000 - Spanish (PDF)
- Premier Choice 1500 (PDF)
- Premier Choice 1500 - Spanish (PDF)
- Premier Choice 2000 (PDF)
- Premier Choice 2000 - Spanish (PDF)
- Premier Choice 3000 (PDF)
- Premier Choice 3000 - Spanish (PDF)
- Premier Choice 4000 (PDF)
- Premier Choice 4000 - Spanish (PDF)
- Premier Choice 5000 (PDF)
- Premier Choice 5000 - Spanish (PDF)
 
 
 Premier Connect plans- Premier Connect 1000 (PDF)
- Premier Connect 1000 - Spanish (PDF)
- Premier Connect 1500 (PDF)
- Premier Connect 1500 - Spanish (PDF)
- Premier Connect 2000 (PDF)
- Premier Connect 2000 - Spanish (PDF)
- Premier Connect 3000 (PDF)
- Premier Connect 3000 - Spanish (PDF)
- Premier Connect 4000 (PDF)
- Premier Connect 4000 - Spanish (PDF)
- Premier Connect 5000 (PDF)
- Premier Connect 5000 - Spanish (PDF)
 
 
 Pharmacy (Rx) Options- Pharmacy 5/10/50/50/50 (PDF)
- Pharmacy 5/10/50/50/50 - Spanish (PDF)
- Pharmacy 5/10/50/75/30 (PDF)
- Pharmacy 5/10/50/75/30 - Spanish (PDF)
 
 
 Optional vision benefitVision administered through Providence Health Plan NOT VSP. Eligibility can be confirmed with Customer Service at 503-574-7500 or 800-878-4445. 
 - Vision (PDF)
- Vision - Spanish (PDF)
 
- 
    2026 Summaries of Benefits and Coverage (SBCs)Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. For more information about SBCs, visit HealthCare.gov. 
 2026 Summaries of Benefits and Coverage (SBCs)Premier Premium plansPremier Premium 250 - 250 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 250 - 250 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 500 - 500 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 500 - 500 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1000 - 1000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1000 - 1000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1000 - 1000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1000 - 1000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1500 - 1500 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1500 - 1500 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1500 - 1500 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 1500 - 1500 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 2000 - 2000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 2000 - 2000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 2000 - 2000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 2000 - 2000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 3000 - 3000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 3000 - 3000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 3000 - 3000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 3000 - 3000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 4000 - 4000 CD
- RX 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 4000 - 4000 CD
- RX 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 4000 - 4000 CD
- RX 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 4000 - 4000 CD
- RX 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 5000 - 5000 CD
- RX 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 5000 - 5000 CD
- RX 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 5000 - 5000 CD
- RX 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 5000 - 5000 CD
- RX 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 6000 - 6000 CD
- RX 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 6000 - 6000 CD
- RX 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 6000 - 6000 CD
- RX 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Premium 6000 - 6000 CD
- RX 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 
 
 Core Plus plansCore Plus 2500 - 2500 SD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Core Plus 2500 - 2500 SD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Core Plus 3500 - 3500 SD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Core Plus 3500 - 3500 SD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Core Plus 5000 - 5000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Core Plus 5000 - 5000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 
 
 Base plansBase 1000 - 1000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 1000 - 1000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 1500 - 1500 CD
- Rx 5/10/50/50/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 1500 - 1500 CD
- Rx 5/10/50/50/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 2000 - 2000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 2000 - 2000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 2000 - 2000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 2000 - 2000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Base 3000 - 3000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 3000 - 3000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 3000 - 3000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 3000 - 3000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Base 4000 - 4000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 4000 - 4000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 4000 - 4000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 4000 - 4000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Base 5000 - 5000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 5000 - 5000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 5000 - 5000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 5000 - 5000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Base 6000 - 6000 CD
- RX 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 6000 - 6000 CD
- RX 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Base 6000 - 6000 CD
- RX 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Base 6000 - 6000 CD
- RX 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 
 
 HSA plansHSA 1700 - 1700 SD
- Rx 50/50/1700
- No Vision
- English (PDF)
- Spanish (PDF)
 HSA 1700 - 1700 SD
- Rx 50/50/1700
- Vision
- English (PDF)
- Spanish (PDF)
 HSA E 3400 - 3400 SD
- Rx 50/50/3400
- No Vision
- English (PDF)
- Spanish (PDF)
 HSA E 3400 - 3400 SD
- Rx 50/50/3400
- Vision
- English (PDF)
- Spanish (PDF)
 HSA E 4000 - 4000 SD
- Rx 0/50/4000
- No Vision
- English (PDF)
- Spanish (PDF)
 HSA E 4000 - 4000 SD
- Rx 0/50/4000
- Vision
- English (PDF)
- Spanish (PDF)
 HSA E 6000 - 6000 SD
- Rx 0/50/6000
- No Vision
- English (PDF)
- Spanish (PDF)
 HSA E 6000 - 6000 SD
- Rx 0/50/6000
- Vision
- English (PDF)
- Spanish (PDF)
 
 
 Premier Choice plansPremier Choice 1000 - 1000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 1000 - 1000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 1500 - 1500 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 1500 - 1500 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 2000 - 2000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 2000 - 2000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 3000 - 3000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 3000 - 3000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 3000 - 3000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 3000 - 3000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 4000 - 4000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 4000 - 4000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 4000 - 4000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 4000 - 4000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 5000 - 5000 CD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 5000 - 5000 CD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 5000 - 5000 CD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Choice 5000 - 5000 CD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 
 
 Premier Connect plansPremier Connect 1000 - 1000 SD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 1000 - 1000 SD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 1500 - 1500 SD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 1500 - 1500 SD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 2000 - 2000 SD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 2000 - 2000 SD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 3000 - 3000 SD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 3000 - 3000 SD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 3000 - 3000 SD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 3000 - 3000 SD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 4000 - 4000 SD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 4000 - 4000 SD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 4000 - 4000 SD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 4000 - 4000 SD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 5000 - 5000 SD
- Rx 5/10/50/75/30
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 5000 - 5000 SD
- Rx 5/10/50/75/30
- Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 5000 - 5000 SD
- Rx 5/10/50/50/50
- No Vision
- English (PDF)
- Spanish (PDF)
 Premier Connect 5000 - 5000 SD
- Rx 5/10/50/50/50
- Vision
- English (PDF)
- Spanish (PDF)
 
- 
    2025 Summaries of Benefits and Coverage (SBCs)Summaries of Benefits and Coverage, or SBCs, are required under the Affordable Care Act. The intent is to allow an “apples to apples” comparison of medical health plan benefits across carriers. For more information about SBCs, visit HealthCare.gov. 
 2025 Summaries of Benefits and Coverage (SBCs)Premier Premium plansPremier Premium 250 Premier Premium 250 Premier Premium 500 Premier Premium 500 Premier Premium 1000 Premier Premium 1000 Premier Premium 1000 Premier Premium 1000 Premier Premium 1500 Premier Premium 1500 Premier Premium 1500 Premier Premium 1500 Premier Premium 2000 Premier Premium 2000 Premier Premium 2000 Premier Premium 2000 Premier Premium 3000 Premier Premium 3000 Premier Premium 3000 Premier Premium 3000 Premier Premium 4000 Premier Premium 4000 Premier Premium 4000 Premier Premium 4000 Premier Premium 5000 Premier Premium 5000 Premier Premium 5000 Premier Premium 5000 Premier Premium 6000 Premier Premium 6000 Premier Premium 6000 Premier Premium 6000 
 
 Core Plus plansCore Plus 2500 Core Plus 2500 Core Plus 3500 Core Plus 3500 Core Plus 5000 Core Plus 5000 
 
 Base plansBase 1000 Base 1000 Base 1500 Base 1500 Base 2000 Base 2000 Base 2000 Base 2000 Base 3000 Base 3000 Base 3000 Base 3000 Base 4000 Base 4000 Base 4000 Base 4000 Base 5000 Base 5000 Base 5000 Base 5000 Base 6000 Base 6000 Base 6000 Base 6000 
 
 HSA plansHSA 1650 HSA 1650 HSA E 3300 HSA E 3300 HSA E 4000 HSA E 4000 HSA E 6000 HSA E 6000 
 
 Premier Choice plansPremier Choice 1000 Premier Choice 1000 Premier Choice 1500 Premier Choice 1500 Premier Choice 2000 Premier Choice 2000 Premier Choice 3000 Premier Choice 3000 Premier Choice 3000 Premier Choice 3000 Premier Choice 4000 Premier Choice 4000 Premier Choice 4000 Premier Choice 4000 Premier Choice 5000 Premier Choice 5000 Premier Choice 5000 Premier Choice 5000 
 
 Premier Connect plansPremier Connect 1000 Premier Connect 1000 Premier Connect 1500 Premier Connect 1500 Premier Connect 2000 Premier Connect 2000 Premier Connect 3000 Premier Connect 3000 Premier Connect 3000 Premier Connect 3000 Premier Connect 4000 Premier Connect 4000 Premier Connect 4000 Premier Connect 4000 Premier Connect 5000 Premier Connect 5000 Premier Connect 5000 Premier Connect 5000 
- 
    Forms- Employee Enrollment Application and Waiver Form - Premium, Plus, Base & HSA plans (PDF)
- Employee Enrollment Application and Waiver Form - Premium, Plus, Base & HSA plans - Spanish (PDF)
- Employee Enrollment Application and Waiver Form - Choice and Connect plans (PDF)
- Employee Enrollment Application and Waiver Form - Choice and Connect plans - Spanish (PDF)
- Enrollment Spreadsheet Template (XLSX)
- Master Application (Member Group Application) (PDF)
- Master Application (Member Group Application) - Spanish (PDF)
- Renewal Confirmation Form (PDF)
- Renewal Confirmation Form - Spanish (PDF)
- Associate Membership Application (PDF)
- EAP Summary of Services (PDF)
- EAP Summary of Services - Spanish (PDF)
- USAble Life Beneficiary Form (PDF)
- USAble Life Beneficiary Form - Spanish (PDF)
- USAble Life Statement of Claim - Group Accident Insurance (PDF)
- USAble Life Employee Benefits Summary (PDF)
- USAble Life Employee Benefits Summary - Spanish (PDF)
- Unified Life Insurance Supplemental Coverage (PDF)
- Creditable Coverage Medicare Part D (PDF)
- Bend Chamber of Commerce COBRA FAQ (PDF)
- BHS Bend Chamber of Commerce COBRA Guide (PDF)
- Zywave Client Cloud Toolbox (PDF)
- Transition of Care Request Form (PDF)
- Transition of Care Request Form - Spanish (PDF)
- Member Resource Guide (PDF)
- Underwriting Guidelines (PDF)
- HealthEquity - Employer Service Fees (PDF)
- HealthEquity Sales Resources
 
- 
    Behavioral Health ResourcesProvidence values whole-self care for all members and we know one-size doesn’t fit all. Supporting different ways to access care and everyone’s unique journey, our benefits cover a wide range of needs. Options include in-person and virtual care, digital self-management tools, and a dedicated 24/7 crisis line. 
 Learn more by visiting our Behavioral Health resource page: providencehealthplan.com/behavioral-health 
 - Download this flyer to see the full suite of services, as well as where and how to access them
 
- 
    Accessing the Cigna PPO NetworkAre you seeing one of the providers in our national network outside of Oregon and having trouble with your insurance coverage? Show the provider the Cigna Accessing Care Flyer to answer their questions about how to verify your eligibility and where to send claims. Or download this flyer for tips and tricks for finding or talking to providers in the Cigna PPO Network. 
- 
    Delta DentalVisit the Delta Dental Bend Chamber page for information about dental networks, plans, digital tools, resources, and how to get started. 
 Delta Dental
- 
    Benefit Help Solutions